Variations in Key Aroma Compounds and Aroma Profiles in Yellow and White Cultivars of Flammulina filiformis Based on Gas Chromatography-Mass Spectrometry-Olfactometry, Aroma Recombination, and Omission Experiments Coupled with Odor Threshold Concentrations.

Flammulina filiformis (F. filiformis) is called the 'benefiting intelligence' mushroom. There is a notable difference between a yellow cultivar (with a robust aroma) and a white mutant cultivar (with a high yield) of F. filiformis. A thorough analysis of aroma differences is essential to improve the aroma of high-yield strains. This study employed a combination of gas chromatography-mass spectrometry-olfactometry (GC-MS-O) and aroma extract dilution analysis (AEDA) to analyze the variations in aroma compounds. Then, the contribution of the odorants was determined using flavor dilution (FD) factors and odor activity values (OAVs). Aroma omission and recombination experiments were used to identify the key odorants. A total of 16 key aroma compounds were characterized in F. filiformis, along with four eight-carbon volatiles (3-octanone, 3-octanol, octanal, and 1-octen-3-ol). Finally, the dominant aroma characteristic was "sweet" for the yellow strain, while it was "green" for the white strain. More research is required to investigate the enzymes and corresponding genes that regulate the synthesis of aroma compounds in F. filiformis for future breeding programs.

Low-dose intranasal dexmedetomidine premedication improves epidural labor analgesia onset and reduces procedural pain on epidural puncture: a prospective randomized double-blind clinical study.

BACKGROUND: Epidural labor analgesia is a safe and effective method of pain management during labor with the drawbacks of delayed onset and maternal distress during epidural puncture. This study aimed to determine whether pretreatment with intranasal low-dose dexmedetomidine effectively shortens the onset of analgesia and reduces procedural pain. METHODS: In this prospective, randomized double-blind trial, nulliparous patients were randomly assigned to either the intranasal dexmedetomidine group or the control group. The intranasal dexmedetomidine group received 0.5 µg/kg dexmedetomidine intranasally, and the control group received an equal volume of normal saline intranasally. Both groups were maintained with a programmed intermittent epidural bolus. The primary outcome was the onset time of analgesia and scores of pain related to the epidural puncture. RESULTS: Seventy-nine patients were enrolled, and 60 completed the study and were included in the analysis. The time to achieve adequate analgesia was significantly shorter in the intranasal dexmedetomidine group than in the control group (hazard ratio = 2.069; 95% CI, 2.187 to 3.606; P = 0.010). The visual analogue scale pain scores during epidural puncture in the intranasal dexmedetomidine group were also significantly lower than those in the control group (2.0 (1.8-2.5) vs. 3.5 (3.3-4.5), P ≤ 0.001, Table 2). Pretreatment with intranasal dexmedetomidine before epidural labor analgesia was associated with improved visual analogue scale pain scores and Ramsay scores, less consumption of analgesics and higher maternal satisfaction (P < 0.05). No differences were observed for labor and neonatal outcomes or the incidence of adverse effects between the two groups. CONCLUSIONS: Pretreatment with intranasal dexmedetomidine before epidural labor analgesia yielded a faster onset of analgesia and decreased epidural puncture pain without increasing adverse effects. Pretreatment with intranasal dexmedetomidine may be a useful adjunct for the initiation of epidural analgesia, and further investigation should be encouraged to determine its utility more fully. TRIAL REGISTRATION: This trial was prospectively registered at Chictr.org.cn on 29/05/2020 with the registration number ChiCTR2000033356 ( http://www.chictr.org.cn/listbycreater.aspx ).

Traffic flow prediction using bi-directional gated recurrent unit method.

Traffic flow prediction plays an important role in intelligent transportation systems. To accurately capture the complex non-linear temporal characteristics of traffic flow, this paper adopts a Bi-directional Gated Recurrent Unit (Bi-GRU) model in traffic flow prediction. Compared to Gated Recurrent Unit (GRU), which can memorize information from the previous sequence, this model can memorize the traffic flow information in both previous and subsequent sequence. To demonstrate the model's performance, a set of real case data at 1-hour intervals from 5 working days was used, wherein the dataset was separated into training and validation. To improve data quality, an augmented dickey-fuller unit root test and differential processing were performed before model training. Four benchmark models were used, including the Autoregressive Integrated Moving Average (ARIMA), Long Short-Term Memory (LSTM), Bidirectional Long Short-Term Memory (Bi-LSTM), and GRU. The prediction results show the superior performance of Bi-GRU. The Root Mean Square Error (RMSE), Mean Absolute Percentage Error (MAPE), and Mean Absolute Error (MAE) of the Bi-GRU model are 30.38, 9.88%, and 23.35, respectively. The prediction accuracy of LSTM, Bi-LSTM, GRU, and Bi-GRU, which belong to deep learning methods, is significantly higher than that of the traditional ARIMA model. The MAPE difference of Bi-GRU and GRU is 0.48% which is a small prediction error value. The results show that the prediction accuracy of the peak period is higher than that of the low peak. The Bi-GRU model has a certain lag on traffic flow prediction.

Dural puncture epidural technique provides better anesthesia quality in repeat cesarean delivery than epidural technique: Randomized controlled study.

BACKGROUND: Repeat cesarean deliverys involve a longer surgery and more severe visceral traction than primary cesarean deliverys. The dural puncture epidural (DPE) technique provides faster and more effective analgesia for labor, but there is no sufficient evidence to indicate whether it is suitable for parturients undergoing repeat cesarean delivery. AIM: To determine the efficacy and safety of the DPE anesthesia technique in patients undergoing repeat cesarean delivery. METHODS: Patients undergoing repeat cesarean delivery were randomly divided into the DPE and epidural anesthesia (EA) groups. A 25-G spinal needle was used for dural puncture via a 19-G epidural needle. The patients in the two groups were injected with 5 mL of 2% lidocaine followed by 15 mL of a mixture of 1% lidocaine + 0.5% ropivacaine as the epidural dosage. The primary outcome was the onset time of sensory block to the T6 dermatome level and the sensory and motor block degree. RESULTS: A total of 115 women were included (EA: 57, DPE: 58). The mean time to sensory block to the T6 Level was significantly shorter in the DPE group than in the EA group (14.7 min vs 16.6 min; 95% confidence interval, 13.9 to 15.4 vs 15.8 to 17.4; P = 0.001). The cranial sensory block level was significantly higher at 5, 10, and 15 min after the initial dose in the DPE group than in the EA group (P < 0.05). The sacral sensory block level was significantly higher and the modified bromage score was significantly lower in the DPE group at each time point (P < 0.05). Adverse effects and neonatal outcomes were comparable between the two groups (P > 0.05). CONCLUSION: The DPE technique provided higher-quality anesthesia than the EA technique, with a rapid onset of surgical anesthesia, better cranial and sacral sensory block spread and a higher motor block degree, without increasing the incidence of maternal or fetal side effects in patients undergoing repeat cesarean delivery.

A Randomized Clinical Trial Comparing Different Concentrations of Chloroprocaine with Lidocaine for Activating Epidural Analgesia During Labor.

PURPOSE: This study aimed to explore the efficacy and safety of chloroprocaine for activating labor analgesia and the optimal concentration compared to lidocaine. PATIENTS AND METHODS: Ninety-six nulliparous parturients were randomly assigned to three groups: LD group, patients received the conventional initial dose of 6 mL of 1% lidocaine; CP1.5 group, patients received 6 mL of 1.5% chloroprocaine as the initial dose; and CP1.2 group, patients received 7.5 mL of 1.2% chloroprocaine as initial dose. Labor analgesia was maintained in all patients via a programmed intermittent epidural bolus (PIEB). The primary outcome was the analgesia onset time. Secondary outcomes included the visual analog scale (VAS) scores, the interval and duration of uterine contractions during the first 12 contractions, failure to reach adequate analgesia, labor and neonatal outcomes, maternal satisfaction and adverse effects. RESULTS: Parturients in the CP1.5 and CP1.2 groups achieved a shorter onset time than those in the LD group (hazard ratio (HR) = 6.540; 95% confidence interval (CI), 3.503-12.210; P < 0.001 and HR = 3.460; 95% CI, 1.905-6.282; P < 0.001, respectively). The median time (95% CIs) to adequate analgesia was 12.0 (10.9-13.1), 7.0 (6.2-7.8) and 8.0 (7.5-8.5) minutes in the LD, CP1.5 and CP1.2 groups, respectively. PIEB in the CP1.5 group was associated with lower VAS scores, patient-controlled epidural analgesia (PCEA) boluses, and analgesic consumption; a shorter time from epidural initiation to the first PCEA demand; and higher maternal satisfaction scores than the other two groups (P < 0.01). The interval and duration of uterine contractions, labor and newborn outcomes and adverse effects were comparable among the three groups. CONCLUSION: Chloroprocaine provided a faster onset of labor analgesia than lidocaine. Thus, 6 mL of 1.5% chloroprocaine might be a superior volume and concentration regimen to 7.5 mL of 1.2% chloroprocaine for activating labor analgesia. CLINICAL TRIAL REGISTRATION STATEMENT: The study was registered prior to subject enrollment at www.chictr.org.cn (ChiCTR2100049113).

Resident travel mode prediction model in Beijing metropolitan area.

With the development of economic integration, Beijing has become more closely connected with surrounding areas, which gradually formed the Beijing metropolitan area (BMA). The authors define the scope of BMA from two dimensions of space and time. BMA is determined to be the built-up area of Beijing and its surrounding 10 districts. Designed questionnaire survey the personal characteristics, family characteristics, and travel characteristics of residents from 10 districts in the surrounding BMA. The statistical analysis of questionnaires shows that the supply of public transportation is insufficient and cannot meet traffic demand. Further, the travel mode prediction model of Softmax regression machine learning algorithm for BMA (SRBM) is established. To further verify the prediction performance of the proposed model, the Multinomial Logit Model (MNL) and Support Vector Machine (SVM), model are introduced to compare the prediction accuracy. The results show that the constructed SRBM model exhibits high prediction accuracy, with an average accuracy of 88.35%, which is 2.83% and 18.11% higher than the SVM and MNL models, respectively. This article provides new ideas for the prediction of travel modes in the Beijing metropolitan area.

Prophylactic endovascular balloon occlusion of the aorta in cases of placenta accreta spectrum during caesarean section: points from the anaesthesiologist's perspective.

BACKGROUND: The placenta accreta spectrum (PAS) is a severe complication of pregnancy and is associated with massive haemorrhage, hysterectomy, and even perinatal maternal-foetal death. Prophylactic abdominal aortic balloon occlusion (PAABO) is a novel and efficient therapy for these patients. The aim of this study was to investigate the benefits, potential risks, and characteristics of anaesthesia management. METHODS: A total of 48 parturients with PAS were enrolled and divided into two groups. Group A (n = 25) received PAABO, and Group B (n = 23) underwent a normal operative procedure. The characteristics of the general parameters, anaesthesia, and operative procedure were noted. Data on vital signs including systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) during the operation were recorded. Before and after the procedure, hepatic and renal function and lactate dehydrogenase (LDH) were also measured. RESULTS: The characteristics of the groups were comparable. PAABO significantly reduced estimated blood loss, which was ≥ 1000 ml. Drastic fluctuations in SBP, DBP and HR were observed during inflation and deflation in Group B. After the operation, increased LDH and glutamic oxaloacetic transaminase (GOT) were observed in both groups, and increased glutamic-pyruvic transaminase (GTP) was observed in Group B. CONCLUSIONS: PAABO reduced perioperative blood loss and the risk of hysterectomy among parturients with PAS. Sophisticated anaesthetic management should be implemented to prevent or reduce perioperative complications and address internal disorders that are caused by massive blood loss.

Propofol regulates imbalanced Th17/Treg responses in lipopolysaccharide-induced septic shock rats.

Propofol (PPF) has previously been shown to inhibit the inflammatory response to septic shock. The main purpose of the present study was to investigate the effects of PPF on the levels of regulatory T cells (Treg) and Th17 in septic shock. Septic shock in rats was induced by intraperitoneal injection of lipopolysaccharide (LPS), and PPF (100 mg/kg) was administered. Mortality, the mean arterial pressure (MAP) and heart rates (HR) were recorded for 24 h after LPS injection. The Treg and Th17 ratios were analysed by flow cytometry. Moreover, the expression of p-STAT3, p-STAT5, STAT3, and STAT5 in PBMCs was measured by western blotting. The results showed that the MAP and HR of the PPF group were more stable than those of the LPS group. Mortality at 24 h after LPS injection was much lower in the PPF group compared to that in the LPS group. PPF significantly reduced the levels of IL-17, TNF-α and IL-6 but increased the IL-10 concentration. Moreover, PPF-treated rats exhibited a higher level of circulating Treg cells and a lower level of circulating Th17 cells in comparison to untreated rats. PPF decreased the level of phosphorylated STAT3 (p-STAT3), increased the level of p-STAT5, but did not change the levels of STAT3 and STAT5. Our data suggest that PPF regulates the imbalanced level of Th17/Treg in septic rats, possibly through modulating the expression of p-STAT3 and p-STAT5.